Which of the following assessments should be included in a post fall prevention assessment of an older adult? (Select all that apply.)

Functional status

Medical history

Financial status

Occupational history

Physical status

Environment

Answer and Explanation

Correct Answer : A,B,E,F

A. Functional status
Explanation: Assessing the functional status helps determine the individual's ability to perform daily activities independently. Identifying any decline in function can guide interventions to prevent future falls.

B. Medical history
Explanation: A comprehensive medical history review can reveal any pre-existing conditions, medications, or health issues that may contribute to falls. Understanding the individual's medical background is crucial for effective fall prevention strategies.

C. Financial status
Explanation: Financial status is generally not directly relevant to post-fall prevention assessments. While financial difficulties may have an impact on an individual's ability to access certain resources, it is not a primary consideration in fall prevention assessments.

D. Occupational history
Explanation: Occupational history is not a standard component of a post-fall prevention assessment. The focus should be on functional status and physical abilities rather than specific details of the individual's occupational history.

E. Physical status
Explanation: Evaluating the physical status includes assessing balance, strength, gait, and mobility. Identifying physical impairments can guide targeted interventions to address specific risk factors for falls.

F. Environment
Explanation: Assessing the environment involves identifying potential hazards in the home or care setting that could contribute to falls. Modifying the environment to enhance safety is an important aspect of fall prevention.

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Correct Answer is ["C","D","E"]

Explanation

A. Use of resistance bands
Explanation: Resistance band exercises can improve strength and flexibility, but they may not specifically address balance as directly as Tai Chi or certain yoga poses.

B. Stretching
Explanation: Stretching exercises contribute to flexibility and can be part of a well-rounded exercise routine. While they can be beneficial, other exercises like Tai Chi and yoga may have a more specific focus on balance improvement.

C. Tai Chi
Explanation: Tai Chi is a low-impact exercise that emphasizes slow, controlled movements, weight shifting, and mindfulness. It has been shown to improve balance and reduce the risk of falls, making it suitable for individuals at high risk.

D. Yoga
Explanation: Yoga incorporates balance, flexibility, and strength exercises. Certain yoga poses can help improve balance and stability, making it beneficial for individuals at risk for falls.

E. Range of Motion (ROM) activities
Explanation: Range of motion activities helps maintain joint flexibility and can contribute to improved balance. Encouraging the client to perform gentle range of motion exercises can be beneficial.

A. "Side rails do not decrease falls, but they do decrease fall related injuries." B. "There is no evidence that side rail use decreases falls, and in fact, there is a greater risk of injury." C. "Side rails are only effective when used with patients who have dementia" D. Side rails have only proven to be effective in decreasing falls in patients who have already fallen."

Correct Answer is B

Explanation

A. "Side rails do not decrease falls, but they do decrease fall-related injuries."

Explanation: While side rails may reduce the severity of injuries if a fall occurs, they are not proven to decrease the overall rate of falls. Additionally, side rails themselves can pose risks, including entrapment.

B. There is no evidence that side rail use decreases falls, and in fact, there is a greater risk of injury."

Explanation: The use of side rails as a fall prevention measure has been associated with risks and has not been shown to effectively decrease the overall rate of falls. There is evidence that side rails can contribute to injuries, including entrapment, when patients attempt to climb over or through them. The focus in fall prevention has shifted towards individualized assessments, environmental modifications, and other strategies that address the specific needs and risks of each patient.

C. "Side rails are only effective when used with patients who have dementia."

Explanation: The effectiveness of side rails is not limited to patients with dementia. However, the use of side rails as a general fall prevention strategy has been questioned, and their use should be carefully considered based on individual assessments and risks.

D. "Side rails have only proven to be effective in decreasing falls in patients who have already fallen."

Explanation: The use of side rails is not universally proven to be effective in decreasing falls, even in patients who have previously fallen. The decision to use side rails should be based on a thorough assessment of the individual's needs and risks, considering alternatives to promote safety.

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Which of the following assessments should be included in a post fall prevention assessment of an older adult? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should encourage which of the following exercise(s) to assist with balance for a client who is at high risk for falls? (Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

Correct Answer is B

Explanation

An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

A nurse is assessing an older adult's nutritional status. The nurse understands that which of the following is the most important indicator for a potential nutritional deficit?

The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use?

Which attempt by the family to prevent an older frail adult from falling causes the home health nurse concern?

The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model?

Which of the following statements are true about Medicare-part 8 supplemental insurance? (Select all that apply.)

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